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<br />APPLICATION FOR PERKIT <br />CITY OF ZEPHYRBILLS <br />BUILDING DEPARTMENT <br /> <br />-tttt 'L :~-( $- <br /> <br />OWNER'S ADDRESS <br /> <br />I~~ <br />~c2)3,D <br />S /Pne <br /> <br />1-../3 (i-:d~ <br />il<'~/ w tf-/ <br /> <br />1-r <br /> <br />tJ,,;v rL <br /> <br />PHONE ?P J. '--PI.s~ <br />z-y4~ h:/I~ <br /> <br />OWNER'S NAKE <br /> <br />JOB ADDRESS <br /> <br />LEGAL DESGRIFl'ION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL 1. D.' <br /> <br />(OBTAIN FROM PROPERTY TAX NOTICE) <br /> <br />WORK PROPOSED: ~ Construction _Addition _Alteration ~epair _Install <br /> <br />_Sign <br /> <br />~ove <br /> <br />_Deaolish <br /> <br />PROPOSED USE: _Single F8IIily <br /> <br />_KIF <br /> <br />_' of Units <br /> <br />~ <br /> <br />_ec-ercial <br /> <br />_Indust. <br /> <br />_Swia. Pool <br /> <br />_Other <br /> <br />_Restaurant & Health Departaent Approval <br /> <br />DESCRIPTION OF WORK: :::; Jo.l"l f7 GL "S ~ <br />~I I ~~ ~~k <br />BUILDING SIZE: IS X /0. r"Y '-' Square Feet, x -r Height <br /> <br />RESIDENTIAL: <br />COMMERCIAL <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORKS. <br />PROPERTY SURVEY REQUIRED FOR ALL NEW CONSTRUCTION. <br /> <br />~LDING <br /> <br />PERMITS REOUESTED <br /> <br />$ 6r16 t$! <br /> <br />Valuation of Total Construction <br /> <br />_ELEC'J"RICAL <br /> <br />AMP Service <br /> <br />Florida Power Corp" <br /> <br />W.R.E.C. <br /> <br />_MECHANICAL <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />_PLUMBING GAS <br /> <br />TYPE OF CONSTRUCTION: _Block <br /> <br />ROOFING <br />~raae _Steel <br /> <br />SPECIALTY <br /> <br />Other <br /> <br />FllUSHED FLOOR ELEVATIONS: <br /> <br />FT" <br /> <br />IS PROJECf IN FLOOD ZONE AREA? <br /> <br />~ <br />YES NO <br /> <br />.......................................... <br /> <br />~.----- - - <br /> <br /> <br />BUII.DER COMPANY <br />State Cert. or Regist. . <br />City License Registration . <br />.......................................... <br /> <br /> <br />RT.RC'J"RIGIAN COMPANY <br />State Cert. or Regist. t <br />SignAture City License Registration . <br />.......................................... <br /> <br />PLUMBER COMPANY <br />State Cert. or Regist. t <br />Signature City License Registration t <br />.......................................... <br /> <br />MECHANICAL COMPANY <br />State Cert" or Regist. t <br />Signature City License Registration . <br />............~............................. <br /> <br />OTRF.R COMPANY <br />State Cert" or Regist. f <br />Signature City License Registration t <br />.......................................... <br /> <br />APPLICATION APPROVED BY PERKIT OFFICER. <br />